Mr. Michael James Dodds
Nurse Practitioner - Gerontology
2419 Morse St
Janesville
, Wisconsin 53545-0221
Mr. Michael James Dodds
Nurse Practitioner - Gerontology
2419 Morse St
Janesville
, Wisconsin 53545-0221
(608) 758-9400
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About
Features
Specialties
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Mr. Michael James Dodds
- 2419 Morse St
- Janesville, WI
- Zip : 53545-0221
- Fax : (608) 758-9400
- Phone : (608) 758-9300
Second Address
- Mr. Michael James Dodds
- 2419 Morse St
- Janesville, WI
- Zip : 53545-0221
- Fax : (608) 758-9400
- Phone : (608) 758-9300
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LG0600X | Nurse Practitioner - Gerontology | 2599-33 | WI |
National Provider Identifier
| NPI | 1073726873 |
|---|---|
| Provider Name | Mr. Michael James Dodds |
| First Address | Janesville, WI 53545-0221 |
| Second Address | Janesville, WI 53545-0221 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/05/2007 |
| Last Update Date | 20/03/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.